To provide a standard system of payment for medical services, each claim form for use under an individual or group health insurance policy that is issued or delivered in the State shall conform to a form or regulations that the Commissioner adopts.
Structure Maryland Statutes
Subtitle 10 - Claims and Utilization Review
Section 15-1001 - Requirement for Utilization Review
Section 15-1002 - Claim Forms to Conform to Regulations
Section 15-1003 - Adoption of Uniform Claims Forms Required
Section 15-1004 - Acceptance of Uniform Claims Forms Required
Section 15-1005 - Prompt Payment of Claims
Section 15-1006 - Notice of Reason for Denial of Claim
Section 15-1007 - Summary Explanation of Benefits
Section 15-1008 - Retroactive Denial of Reimbursement
Section 15-1009 - "Carrier" Defined; Reimbursement for Preauthorized Care; Payment of Claims
Section 15-1010 - "Disability Benefit" and "Adverse Benefit Determination" Defined; Regulations
Section 15-1011 - Expense Reimbursement Claims Forms -- Methods for Submission